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男，30岁。餐后1小时突发上腹部剧痛，很快扩散至右下腹，疼痛呈持续性，无放射，伴有恶心、呕吐。发病3小时后来院就诊。体检：血压16／9kPa（120／70mmHg），腹平，全腹压痛，反跳痛，肌紧张，以右上腹及中上腹为甚，肝浊音界不清，肠鸣音微弱。

患者行立位腹平片检查：未见膈下游离气体，应考虑什么诊断（）

A.胆囊穿孔

B.乙状结肠穿孔

C.肝破裂

D.结肠肝曲肿瘤破裂

E.胃十二指肠溃疡穿孔

答案

参考答案：E

阅读理解
阅读理解。
     I am 15. Now I'm studying English in London. My dream is to invent a language machine that
can help me understand as many languages as possible.
                                                                                                                  Marie, France
                                                                                                                  May 15, 2011
     I am a 16-year-old in Shanghai. The Jinghu High-speed Railway has been built. I'll be able to
reach Beijing by train in about 5 hour. My dream is to go to Beijing for a visit after I graduate next
year.
                                                                                                             Wang Min, China
                                                                                                               May 20, 2011
     I am 13. I dream of going to a top university after I graduate. I want to be a reporter in the
future.
                                                                                                            Michiko,  Japan 
                                                                                                             June 11, 2011
     I am a 12-year-old girl. I like traveling very much. How I wish to visit Egypt some day!
                                                                                                             Masha,  Russia 
                                                                                                              April 15, 2011
     I am 14 year old. I dream of inventing a machine that can send things or people from one
place to another in a machine.
                                                                                                        Andrew the USA 
                                                                                                              June 5, 2011
1. What is Michiko's dream?
A. Visiting Egypt.
B. Going to a top university.
C. Inviting a language machine.
D. Going from one place to another in a minute.
2. How will Wang Min be when she graduates?
A. Fourteen.
B. Fifteen.
C. Sixteen.
D. Seventeen.
3. Which sentence is RIGHT according to the passage?
A. Marie is now studying English in England.
B. Masha wants to be a reporter when she groups up.
C. The Jinghu High-speed Railway hasn't been built yet.
D. People in Shanghai can reach Beijing by train in about two hours.
4. From the passage we know that ________  want to invent something.
A. Marie and Wang Min
B. Marie and Andrew
C. Wang Min and Michiko
D. Masha and Andrew
5. The best title (题目) from this passage would be ________.
A. I have a dream
B. Five friends
C. We like English
D. Our inventions
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选择题

英国首都L、德国首都B、波兰首都H三城市所处纬度位置大致相当。据此回答1—3题。

1、三地降水量按由大到小的顺序排列 [ ]

A、L＞B＞H

B、B＞L＞H

C、H＞B＞L

D、B＞H＞L

2、三地气温年较差按由大到小的顺序排列[ ]

A、L＞B＞H

B、B＞L＞H

C、H＞B＞L

D、B＞H＞L

3、造成三地上述差异的主要原因是[ ]

A、纬度差异

B、气压带、风带差异

C、地形差异

D、距海远近差异

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